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MA13 - Denial Journal
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RARC

MA13

RARC Non-Covered
Quick Facts
Code
MA13
Type
RARC
Category
Non-Covered
Status
Active

Alert: possible penalties for billing the patient amounts not reported with the PR group code

What Does This Code Mean?

An informational alert reminding the provider that only amounts reported under the PR (Patient Responsibility) group code may be billed to the patient.

Common Causes

  • Provider billing patient for a CO (contractual) or OA adjustment in error

Recommended Next Steps

  1. Review which adjustments are marked PR vs. CO/OA on the remittance
  2. Only bill the patient for amounts under the PR group code

More Denial Codes to Check

CARC CO-48 CARC CO-49 CARC CO-78 CARC CO-51 CARC CO-B1 CARC CO-202 RARC M89 RARC M90

Educational reference only — not medical or legal advice. Always confirm code usage and appeal rights with the specific payer.

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